Background: Electroconvulsive therapy has been found to be effective treatment in Depressive disorder and in actively suicidal patient. This treatment has been also prescribed in different psychiatric disorders.

Hence the objective of the study is to explore the various psychiatric diagnosis and indications of patients receiving ECT and is there any gender difference in the treatment sessions.

Method: Data of 28 Patients diagnosed as per ICD -10 criteria and advised for Brief pulse ECT are collected for the study. Unpaired t test is used for inferential statistics and P value <0.05 is considered significant in this study.

Result:  Among the patients with psychiatric diagnosis receiving ECT; depressive disorder (35.73%) was highest  followed by  schizophrenia (25%). Majority cases indication of ECT was severe depression, suicidal attempt, psychosis and treatment resistant. The mean age difference between male and female was statistically significant (P<0.02237). Gender influence on ECT sessions was statistically not significant (P<0.2218).

Conclusion:  Brief pulse ECT has been prescribed in various psychiatric diagnosis without any immediate adverse effect and gender has no influence on ECT sessions.

Keywords: Brief pulse ECT, Psychiatric diagnosis, Modified ECT, North East.

1. Kaplan &Sadock’s Comprehensive Textbook of Psychiatry 8th Edition
2. Rotheneichner P, Lang S, O’Sullivan A, Marschallinger J. Hippicampal neurogenesis and antidepressive therapy: shocking relations. Neuro Plast 2014;2014:723915
3. Abbot CC, Jones T, Lemke NT, Gallegos P. Hippocampal structural and functional changes associated with electroconvulsive therapy response. Transl Psychiatry 2014;4:e 483.
4. UK ECT  Review Group. Efficacy and safety of electroconvulsive therapy in Depressive disorders: a systematic review and meta- analysis. Lancet    2003;361(9360): 799-808.
5. Kellner CH,Fink M, Knapp R, Petrides G. Relief of expressed suicidal intent by ECT: A Consortium for Research in ECT study. Am J Psychiatry 2005:162(5):977-82
6. National Institute for Health and Clinical Excellence. NICE technology appraisal guidance No. 59: The clinical effectiveness and cost effectiveness of electroconvulsive therapy (ECT) for depressive illness, schizophrenia, catatonia and mania. 2003. https://www.nice.org.uk/guidance/ta59.
7. Yuman Kawoos, Irfan Ahmad Shah, Yasir H Rather, Zaid A Wani,  Waris A Zarger. Efficacy of Electroconvulsive Therapy in Various Psychiatric Disorders: A Hospital Based  Longitudinal  Follow-up Study.  Journal of Clinical and Diagnostic Research: 2018 Apr, Vol-12(14): VC10-VC14.
8. Liang CS, Chung CH, HO PS, Tsai CK, Chien WC. Superior anti-suicidal effects of electroconvulsive therapy in unipolar disorder and bipolar depression. Bipolar Disord 2017. https://doi.org/10.1111/bdi.12598
9. Kellner CH, Knapp RG, Petrides G, Fink M. Continuation electroconvulsive therapy vs pharmacotherapy for relapse prevention in major depression: a multisite study from the cosoritum for research in electroconvulsive therapy (CORE). Arch Gen Psychiatry 2006;63(12):1337-44.
10. Hussain MM, Rush AJ, Fink M, Knapp R, Petrides G, Rummans T, Biggs MM, O’ Connor K, Rasmussen K et al. Speed of response and remission in major depressive disorder with acute electroconvulsive therapy (ECT) : a consortium for research in ECT(CORE)report.J Clin Psychiatry 2004;65(4): 485-91.
11. American Psychiatric Association. Practice Guidelines for the Treatment of Patients with Major Depressive Disorder. American Psychiatric Association, 2010 (https://psychiatryonline.org/pb/ Google Scholar.)
12. Goswami U, Kumar U, Sing B. Efficacy  of electroconvulsive therapy in treatment resistant schizophrenia: a double blindstudy. Indian J Psychiatry 2003;45 (1): 26-9.
13. Thyrian P, Adams CE. Electroconvulsive therapy for schizoprenia. Cochrane Database Syst Rev 2005;(2): CDL000076.
14. Mohan T, Thyrian P, Allexander J, Raveendran NS. Effects of stimulus intensity on the efficacy and safety of twice weekly, unilateral electroconvulsive therapy (ECT) combined with antipsychotics in acute mania:a randomised clinical trial. Bipolar Disord 2009;11: 126-34.
15. McCall The response to an amobarbital interview as a predictor of therapeutic outcome in patients with catatonic mutism. Convuls Ther 1992;8(3):174-8.
16. Natalia M, Lins-Martins,MD, Murat Yucel Ph D ,Fernanda Tover-Moll,M.D.Erika C. Rodrigues, Ph.D, Leonardo F. Fontenelle,M.D. Eletroconvulsive Therapy in Obsessive-Convulsive Disorder: A Chart Review and Evaluationof Its Potential Therapeutic Effects. J Neuropsychiatry Clin Neurosci 2015;27:65-68.
17. Babu GN ,Thippeswamy H,Chandra PS. Use of electroconvulsive therapy(ECT) in postpertum psychhosis –a naturalistic propective study. Archives of Women’s Mentl Health. Jun 2013,Volume16,Issue 3,pp247-251.
18. Harshini Manohar,Karthick Subramaniun Vikas Menon, Shivanand Kattimani. Does Gender Influence Electroconvulsive Therapy Sessions Required across Psychiatric Diagnosis? A 5-Year Experience from a single Center. J  Neurosci Rural Pract.2017 Jul-Sep; 8 (3):427-430.

Bobby Hmar

Assistant Professor Dept. of Psychiatry, Gauhati Medical College & Hospital, Guwahati, Assam, India